Medicaid

In Speech to Congress, President Biden Again Shines Spotlight on Home-Based Care

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In a speech delivered to Congress Wednesday, President Joe Biden again mentioned the importance of providing care to seniors in their own homes. Specifically, he touted his administration’s previously announced American Jobs Plan, which would include $400 billion for home-based care. Much of that money… Read More »In Speech to Congress, President Biden Again Shines Spotlight on Home-Based Care

Votive Health Raises $2.5M to Help Home-Based Care Providers Make Value-Based Arrangements

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Votive Health — a technology startup that facilitates payer-provider integration — formally announced its launch and first funding round on Wednesday. The company raked in $2.5 million in a round led by Flare Capital Partners, with Chrysalis Ventures and OCA Ventures as co-investors. San Luis… Read More »Votive Health Raises $2.5M to Help Home-Based Care Providers Make Value-Based Arrangements

COVID-19 Deaths and Cases in Long-Term Care Facilities Have Fallen to All-Time Lows in the Four Months Since Vaccinations Began

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COVID-19 deaths and cases among residents and staff of long-term care facilities have fallen dramatically since vaccinations began in December, with deaths declining by nearly 89 percent and cases declining by nearly 92 percent as of April 2021, according to a new KFF analysis. COVID-19… Read More »COVID-19 Deaths and Cases in Long-Term Care Facilities Have Fallen to All-Time Lows in the Four Months Since Vaccinations Began

COVID-19 Long-Term Care Deaths and Cases Are at An All-Time Low, Though A Rise In LTC Cases In A Few States May Be Cause for Concern

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This data note looks at state-reported LTCF data from 41 states plus Washington DC to assess what has happened to new deaths and cases in LTCFs in the four months since vaccinations began on December 21st, 2020. We also examine how recent changes in deaths… Read More »COVID-19 Long-Term Care Deaths and Cases Are at An All-Time Low, Though A Rise In LTC Cases In A Few States May Be Cause for Concern

What Are Some Policy Options for Reaching the 2.2 Million Uninsured People in the ACA’s “Coverage Gap”?

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A new KFF issue brief explores several potential policy options that would help close the Affordable Care Act’s “coverage gap,” including providing further new incentives for states to expand Medicaid, creating a new “public option” or extending ACA Marketplace premium subsidies to low-income people who… Read More »What Are Some Policy Options for Reaching the 2.2 Million Uninsured People in the ACA’s “Coverage Gap”?

Filling the Coverage Gap: Policy Options and Considerations

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This issue brief examines some of the other options policymakers may consider to extend coverage to people in the gap, including increased fiscal incentives for states, a narrower public option, and making people with incomes below the poverty level eligible for enhanced ACA premium subsidies.

Why Minnesota’s Largest Home Care Provider Doubled Down on Financial Management Services

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In the crowded home-based care market, providers have been forced to become increasingly more creative when it comes to their service offerings. One company, Accra, recently saw success with the growth of its unique financial management services program. The Minnetonka-based Accra is the largest provider… Read More »Why Minnesota’s Largest Home Care Provider Doubled Down on Financial Management Services

‘There Are Still Many Questions Unanswered’: Home Care Providers Seek Clarity on American Rescue Plan

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As part of the recently passed $1.9 trillion American Rescue Plan, state Medicaid programs have seemingly received a major bump in funding for vital home- and community-based services (HCBS). In theory, the bump is designed to help HCBS operators expand their services, attract new workers… Read More »‘There Are Still Many Questions Unanswered’: Home Care Providers Seek Clarity on American Rescue Plan

Families With Sick Kids on Medicaid Seek Easier Access to Out-of-State Hospitals

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Three-year-old Elizabeth Zakutansky was born with a rare genetic condition that causes multiple seizures. Her neurologist, a top expert on treating her condition, practices at Lurie Children’s Hospital of Chicago, less than an hour’s drive from the Zakutanskys’ home in Hobart, Indiana. Her parents would… Read More »Families With Sick Kids on Medicaid Seek Easier Access to Out-of-State Hospitals

Indiana’s Medicaid Expansion — Designed by Pence and Verma — Panned in Federal Report

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Indiana’s Medicaid expansion — with its “personal responsibility” provisions that require enrollees to pay monthly premiums and manage health savings accounts — proved no better at improving health and access to care than other state expansions, a federally commissioned study found. Use Our Content It… Read More »Indiana’s Medicaid Expansion — Designed by Pence and Verma — Panned in Federal Report

‘A Monumental Advance’: Newly Unveiled American Jobs Plan Would Invest $400B into Home-Based Care

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President Joe Biden is trying to make good on one of his main campaign promises. The Biden administration on Wednesday unveiled a new $2 trillion infrastructure proposal to create jobs, build roads, fix bridges and more. On top of that, the proposal — officially dubbed… Read More »‘A Monumental Advance’: Newly Unveiled American Jobs Plan Would Invest $400B into Home-Based Care

SNF-at-Home Concept Earning ‘Very Positive Feedback’ in Congress, Among Special Interest Groups

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An innovative care concept designed to keep patients at home and out of skilled nursing facilities (SNFs) is reportedly gaining ground in Congress and among special interest groups. The concept — known as “Choose Home” — is a type of SNF-at-home model that leverages both… Read More »SNF-at-Home Concept Earning ‘Very Positive Feedback’ in Congress, Among Special Interest Groups

Unite Us Nabs $150M, Reaching $1.6B Valuation to Address Social Determinants of Health

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What You Should Know: –   Unite Us, the tech company creating coordinated care networks nationwide, has just announced a $150M Series C round of funding led by ICONIQ Capital, bringing its valuation at $1.65 billion.   – Unite Us is leading the care transformation movement towards whole-person health… Read More »Unite Us Nabs $150M, Reaching $1.6B Valuation to Address Social Determinants of Health

Potential Impact of Additional Federal Funds for Medicaid HCBS for Seniors and People with Disabilities

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The American Rescue Plan includes a provision to increase the federal matching rate (FMAP) for spending on Medicaid HCBS by 10 percentage points from April 1, 2021 through March 31, 2022 provided states maintain state spending levels as of April 1, 2021.This brief discusses the… Read More »Potential Impact of Additional Federal Funds for Medicaid HCBS for Seniors and People with Disabilities

Medicaid Spending and Enrollment Trends Amid the COVID-19 Pandemic – Updated for FY 2021 & Looking Ahead to FY 2022

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Even as the COVID-19 vaccine roll-out is accelerating across the country, the public health and economic effects of the pandemic continue to put pressure on Medicaid spending and enrollment. In mid-February 2021, the Kaiser Family Foundation (KFF) and Health Management Associates (HMA) fielded a two-part… Read More »Medicaid Spending and Enrollment Trends Amid the COVID-19 Pandemic – Updated for FY 2021 & Looking Ahead to FY 2022

A Look at How Medicaid Agencies Are Assisting with the COVID-19 Vaccine Roll-Out

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As of February 2021, there are three COVID-19 vaccines approved for emergency use in the U.S. and states are playing a central role in their timely distribution and prioritizing eligible populations. Because Medicaid covers for over 77 million enrollees, including groups disproportionately at risk of… Read More »A Look at How Medicaid Agencies Are Assisting with the COVID-19 Vaccine Roll-Out

Medicaid and CHIP Eligibility and Enrollment Policies as of January 2021: Findings from a 50-State Survey

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This report provides data on state Medicaid and CHIP eligibility levels and presents a snapshot of key aspects of state enrollment and renewal procedures in place during the COVID-19 PHE based on information from the 19th annual survey of Medicaid and CHIP program officials in… Read More »Medicaid and CHIP Eligibility and Enrollment Policies as of January 2021: Findings from a 50-State Survey

KFF Tracking Poll: More Than a Third of Americans Say They’ve Struggled to Pay Living Expenses Since December; 6 in 10 Families Hit by COVID Have Lost A Job or Income

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Majorities Favor Provisions to Expand Marketplace Tax Credits and Encourage States to Expand Medicaid As Congress considers an additional $1.9 trillion COVID-19 relief plan, more than a third (37%) of Americans say that someone in their household has had trouble paying basic living expenses over… Read More »KFF Tracking Poll: More Than a Third of Americans Say They’ve Struggled to Pay Living Expenses Since December; 6 in 10 Families Hit by COVID Have Lost A Job or Income

KFF Health Tracking Poll: Economic Hardship, Health Coverage, And The ACA

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This poll examines the public’s assessments of the Biden administration’s handling of the coronavirus pandemic, the impact COVID-19 has had on people’s finances, and support for provisions of the latest COVID-19 relief bill. It examines the public’s views of the ACA and possible next steps.

Many Nonelderly People With Disabilities Face COVID-19 Risks Similar to Those of the Elderly in Nursing Homes, But Do Not Have Equal Footing When it Comes to Vaccine Priority

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While the toll of COVID-19 on nursing home residents has been well documented, less noticed has been the experience of nonelderly people with disabilities who rely on long-term care services and supports outside of nursing homes. In many ways the two groups face similar health… Read More »Many Nonelderly People With Disabilities Face COVID-19 Risks Similar to Those of the Elderly in Nursing Homes, But Do Not Have Equal Footing When it Comes to Vaccine Priority

State Variation in Medicaid LTSS Policy Choices and Implications for Upcoming Policy Debates

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This brief takes a closer look at multiple measures beyond waiver waiting lists to evaluate state choices about optional Medicaid eligibility pathways, spending, and services for seniors and people with disabilities as of 2018. The analysis draws on several KFF resources, including 50-state surveys of… Read More »State Variation in Medicaid LTSS Policy Choices and Implications for Upcoming Policy Debates

3 Ways to Boost Patient Confidence with Real-Time Contactless Communication

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Ford Blakely, SVP & GM, Medallia Zingle Although the vaccine’s rollout is slowly underway, Covid cases worldwide are continuing to reach all-time highs as new mutations make the virus even more contagious than ever before. Not surprisingly, patients’ concerns about visiting their healthcare providers in… Read More »3 Ways to Boost Patient Confidence with Real-Time Contactless Communication

Two New Analyses: House COVID-19 Relief Plan Would Temporarily Lower Marketplace Premiums for Millions and More than Offset Short-Term State Costs to Expand Their Medicaid Programs

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The House COVID-19 relief proposal would temporarily lower what millions of Marketplace enrollees and uninsured potential enrollees would pay toward premiums and would provide states that have not expanded their Medicaid programs a financial boost that would more than offset their costs initially, two new… Read More »Two New Analyses: House COVID-19 Relief Plan Would Temporarily Lower Marketplace Premiums for Millions and More than Offset Short-Term State Costs to Expand Their Medicaid Programs

New Incentive for States to Adopt the ACA Medicaid Expansion: Implications for State Spending

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The House Energy and Commerce Committee reconciliation proposal as part of the COVID relief package aims to encourage non-expansion states to take up the expansion by providing an additional temporary fiscal incentive for states to newly implement the ACA Medicaid expansion. This brief provides illustrative… Read More »New Incentive for States to Adopt the ACA Medicaid Expansion: Implications for State Spending

Arizona to Implement a Statewide Social Determinants of Health Closed Loop Referral System

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What You Should Know: – Health Current, Arizona’s health information exchange (HIE), today announced the selection of NowPow as the vendor of choice for Arizona’s closed-loop referral system (CLRS) to address social determinants of health (SDOH) needs in Arizona. – By connecting healthcare and community… Read More »Arizona to Implement a Statewide Social Determinants of Health Closed Loop Referral System

In-Home Care Providers ConcertoHealth, Perfect Health Merge to Form ‘ConcertoCare’

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Two in-home care providers — ConcertoHealth and Perfect Health — announced Wednesday that their organizations have merged. Together, the companies will operate under the name “ConcertoCare.” Aliso Viejo, California-based ConcertoHealth is a value-based care provider organization that delivers a variety of home-based care services. The… Read More »In-Home Care Providers ConcertoHealth, Perfect Health Merge to Form ‘ConcertoCare’

Tennessee’s Medicaid demonstration fails patients

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Prior to its departure from office, the Trump Administration approved Tennessee’s request for a demonstration to change how the state’s Medicaid program operates, and more importantly, how vulnerable patients access the health care they need.

How Can Trump Administration Regulations Be Reversed?

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With the inauguration of President Biden and Democrats holding a slim majority in Congress, policymakers are likely to consider whether and how to reverse various health policy regulations issued by the Trump Administration.

KHN’s ‘What the Health?’: The Long Road to Unwinding Trump Health Policies

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Can’t see the audio player? Click here to listen on SoundCloud. Thursday was “health day” in President Joe Biden’s sprint to launch his presidency, and he signed two executive orders addressing health coverage and women’s reproductive rights. The orders will reopen enrollment under the Affordable Care… Read More »KHN’s ‘What the Health?’: The Long Road to Unwinding Trump Health Policies

Analyzing Recent Trends in Medicaid/CHIP Applications: What We Do and Do Not Know

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This data note discusses changes in the number of applications for Medicaid/CHIP coverage during the coronavirus pandemic. Although enrollment in Medicaid/CHIP has increased steadily by more than 6 million individuals (9%) from February to September 2020, the total number of Medicaid/CHIP applications has decreased by… Read More »Analyzing Recent Trends in Medicaid/CHIP Applications: What We Do and Do Not Know

Key Issues for State Medicaid Programs When the COVID-19 Public Health Emergency Ends

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As a result of the COVID-19 Public Health Emergency (PHE) , states have experienced increased enrollment along with administrative challenges. After the PHE ends, states are likely to have renewal and redetermination backlogs and will face decisions around continuing temporary policy changes. This brief highlights… Read More »Key Issues for State Medicaid Programs When the COVID-19 Public Health Emergency Ends

Medicaid: What to Watch in 2021

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As the Biden Administration takes office, the ongoing effects of the coronavirus pandemic and related economic downturn are the key issues that will substantially shape Medicaid coverage and financing policy in the year ahead.

Despite Efforts to Slow the Spread of the Virus in Long-Term Care Facilities, KFF Analysis Finds Many States Experienced the Worst COVID-19 Outbreaks and Highest Number of Deaths in December

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For some regions of the country, recent months have brought the worst COVID-19 outbreaks in long-term care facilities since the start of the pandemic, a new KFF analysis of state-reported cases and death shows, underscoring the importance of current efforts to vaccinate this high priority… Read More »Despite Efforts to Slow the Spread of the Virus in Long-Term Care Facilities, KFF Analysis Finds Many States Experienced the Worst COVID-19 Outbreaks and Highest Number of Deaths in December

Women’s Health Insurance Coverage

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This factsheet reviews major sources of coverage for women residing in the U.S. in 2019, discusses the impact of the ACA on women’s coverage, and the coverage challenges that many women continue to face

Net Health Acquires Post-Acute Analytics Platform PointRight – M&A

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What You Should Know: –  Net Health acquires post-acute market analytics platform PointRight to deepen the company’s analytics capabilities, post-acute presence, and support for SNF networks. Net Health, a provider of cloud-based software for specialty medical providers across the continuum of care, today announced that… Read More »Net Health Acquires Post-Acute Analytics Platform PointRight – M&A

COVID-19 Deferrals Lead to 3 Major Conditions Payers/Providers Must Address in 2021

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What You Should Know: – COVID-19 care deferrals lead to three major boomerang conditions that payers and providers must proactively address in 2021, according to a newly released report by Prealize. – COVID-19’s hidden victims—those who avoided or deferred care during the pandemic—will increasingly return… Read More »COVID-19 Deferrals Lead to 3 Major Conditions Payers/Providers Must Address in 2021

January 14 Web Event: A Shot in the Arm For Long-Term Care Facilities? Early Lessons from the COVID-19 Vaccine Rollout to High Priority Populations

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With the pandemic taking a heavy toll among older Americans, the Centers for Disease Control and Prevention and most states have placed a high priority on vaccinating residents and staff of long-term care facilities. People in nursing homes and other long-term care settings account for… Read More »January 14 Web Event: A Shot in the Arm For Long-Term Care Facilities? Early Lessons from the COVID-19 Vaccine Rollout to High Priority Populations

30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

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As we close out the year, we asked several healthcare executives to share their predictions and trends for 2021. Kimberly Powell, Vice President & General Manager, NVIDIA Healthcare Federated Learning: The clinical community will increase their use of federated learning approaches to build robust AI models across various… Read More »30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

Community Health Centers’ Role in Delivering Care to the Nation’s Underserved Populations During the Coronavirus Pandemic

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In the midst of the coronavirus pandemic, community health centers are serving as public health responders, especially for medically underserved populations. Health centers are a national network of safety net primary care providers who provided care to nearly 30 million patients in 2019, and disproportionately… Read More »Community Health Centers’ Role in Delivering Care to the Nation’s Underserved Populations During the Coronavirus Pandemic

Humana Taps Vida Health to Power Virtual Diabetes Management for Kentucky’s Medicaid Population

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What You Should Know: –  Humana Healthy Horizons™ in Kentucky announced it has selected Vida Health’s virtual diabetes management program to serve Kentucky’s Medicaid population. – Vida’s diabetes management program achieves lasting results for participants. Because chronic conditions like diabetes, obesity, and hypertension often occur simultaneously,… Read More »Humana Taps Vida Health to Power Virtual Diabetes Management for Kentucky’s Medicaid Population

For Better Patient Care Coordination, We Need Seamless Digital Communications

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Catherine Thomas: Co-Founder and VP, Customer Engagement, careMESH  Peter Tippett MD, PhD: Founder and CEO, careMESH A recent Advisory Board briefing examined the annual Centers for Medicare & Medicaid Services (CMS) Readmission penalties.  Of the 3,080 hospitals CMS evaluated, 83% received a penalty for payments to… Read More »For Better Patient Care Coordination, We Need Seamless Digital Communications

Expanding Postpartum Medicaid Coverage

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This brief discusses Medicaid’s eligibility for pregnancy and postpartum care, gaps in coverage particularly in states that have not expanded Medicaid under the ACA, and several state and federal efforts to extend postpartum coverage to more women for a longer period of time.

Medicaid Maintenance of Eligibility (MOE) Requirements: Issues to Watch

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Federal legislation provides a temporary increase in federal Medicaid matching rates to states conditioned on states providing continuous eligibility for existing enrollees and meeting certain other eligibility requirements. This brief provides an overview of these maintenance of eligibility (MOE) requirements, examines what happens when the… Read More »Medicaid Maintenance of Eligibility (MOE) Requirements: Issues to Watch

Cityblock Health Reaches $1B Valuation, Raises $160M to Address Systemic Healthcare Inequity

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What You Should Know: – Cityblock Health, a transformative, value-based healthcare provider focused on improving healthcare outcomes for marginalized communities, today announced a $160M Series C round, bringing its total raised to $300M. – Cityblock is a care delivery trailblazer working to right the injustices… Read More »Cityblock Health Reaches $1B Valuation, Raises $160M to Address Systemic Healthcare Inequity

Elation Health Nabs $40M for Clinical-First Solution to Power Independent Primary Care

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What You Should Know: – Elation Health, which provides an easy-to-use and affordable clinical technology platform for more than 7 million independent primary care clinicians serving 14M+ patients – including an EHR raises $40M in Series C funding from Al Gore’s sustainable investment firm, Generation… Read More »Elation Health Nabs $40M for Clinical-First Solution to Power Independent Primary Care

5 Steps for Interoperability Excellence for Healthcare Providers

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Shanti Wilson, Consultant, Freed Associates  As if 2020 couldn’t be any more challenging for healthcare providers, new federal rules on interoperability and patient access, granting patients direct access to their healthcare data, begin taking effect this November and continue into 2022. These rules, while ultimately beneficial… Read More »5 Steps for Interoperability Excellence for Healthcare Providers

CommonHealth App Connects to 230 Health Systems to Share Health Data – including COVID Test and Vaccine Status

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What You Should Know: – CommonHealth has connected to 230 health systems in the United States, allowing patients to gather, manage and share their health and test data, including COVID test and vaccination status. By the end of this month, CommonHealth will connect to more… Read More »CommonHealth App Connects to 230 Health Systems to Share Health Data – including COVID Test and Vaccine Status

ACA could help millions of uninsured gain free coverage

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Millions of Americans without healthcare insurance could be eligible to get coverage for free, or nearly free, through financial assistance offered under the Affordable Care Act. But many who recently lost their employer-based coverage may not be aware of the options available to them.

COVID-19: How Can Payers Prepare for Mandates and Support Pandemic Relief Efforts

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Elizabeth Bierbower, Former President of Humana’s Group & Specialty Division Healthcare can achieve optimum efficiency when patients are at the center of care. When patients have the necessary information to navigate their care journey, they will choose the path to high-quality care at the lowest… Read More »COVID-19: How Can Payers Prepare for Mandates and Support Pandemic Relief Efforts

Florida’s New Hospital Industry Head Ran Medicaid in State and Fought Expansion

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With its choice of a new leader, the Florida Hospital Association has signaled that seeking legislative approval to expand Medicaid to nearly 850,000 uninsured adults won’t be among its top priorities. In October, Mary Mayhew became the association’s CEO. Mayhew, who led the state’s Medicaid… Read More »Florida’s New Hospital Industry Head Ran Medicaid in State and Fought Expansion

8 Ways Advanced Analytics Can Help You Decide If Telehealth Should Be Temporary or Permanent

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Prasad Dindigal, Vice President, Healthcare & Life Sciences, EXL. Over the past few months, primarily as a result of the COVID-19 pandemic, telehealth has gone from a “nice-to-have” to a “must-have” for healthcare providers. The surge of COVID-19 patients in the spring, coupled with “stay-at-home”… Read More »8 Ways Advanced Analytics Can Help You Decide If Telehealth Should Be Temporary or Permanent

Supreme Court justices seem unlikely to axe the ACA

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Now with a 6-3 conservative majority, the nation’s highest court still seems reticent to throw out the Affordable Care Act altogether. If the law stays in place, it would be the foundation for many of President-elect Biden’s planned healthcare policies.

‘Our Work Begins with Getting COVID Under Control’: What a Biden Administration Means for Home-Based Care

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After one of the closest and most hotly contested campaigns in modern history, President-Elect Joe Biden addressed the nation on Saturday from an outdoor platform in Wilmington, Delaware. While it’s far too early to say what the first 100 days of a Biden administration will… Read More »‘Our Work Begins with Getting COVID Under Control’: What a Biden Administration Means for Home-Based Care

California’s Progressive — and Expensive — Health Care Ambitions Rely on Biden Win

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SACRAMENTO — For deep blue California, where first-in-the-nation health care proposals regularly flood the Democratic agenda, there could not be more at stake in the presidential race. If Republican President Donald Trump prevails, Democratic state lawmakers worry, they’ll be forced to scale back their ambitious… Read More »California’s Progressive — and Expensive — Health Care Ambitions Rely on Biden Win

Healthify, Algorex Health & Excellus BCBS Tap into SDoH Analytics to Address Social Disparities

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What You Should Know: – Healthify in partnership with Algorex Health Technologies, announced the results of new social determinants of health (SDoH) population analysis of Excellus BlueCross BlueShield (BCBS) members. – SDoH are non-clinical conditions that significantly affect health outcomes. The analysis identified Excellus BCBS… Read More »Healthify, Algorex Health & Excellus BCBS Tap into SDoH Analytics to Address Social Disparities

The COVID-19 Pandemic Has Taken a Higher Toll on Nursing Homes with Relatively High Shares of Black or Hispanic Residents

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Nursing homes with a relatively high share of Black or Hispanic residents are more likely to have had a resident die of COVID-19 than homes with lower shares of such residents, finds a new KFF analysis. Nationwide, 63 percent of nursing homes with a relatively… Read More »The COVID-19 Pandemic Has Taken a Higher Toll on Nursing Homes with Relatively High Shares of Black or Hispanic Residents

Nebraska gets approval to add work requirements to Medicaid expansion

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After Nebraskans cast their vote for Medicaid expansion in 2018, the state is finally expanding coverage to more residents. As part of the state’s rollout, it split its expanded Medicaid plans into two tiers, with work and other requirements to access dental and vision coverage.

Home Health Provider to Pay $3.1M to Resolve Improper Billing Allegations

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A Massachusetts-based home health company and its owners will pay millions of dollars to resolve allegations that they falsely billed the state’s Medicaid program, MassHealth. The home health company is Altranais Home Care LLC, located in Lowell. Massachusetts Attorney General Maura Healey announced Friday that… Read More »Home Health Provider to Pay $3.1M to Resolve Improper Billing Allegations

Proposed change to Medicaid line extension definition ignores importance of critical improvements in treatments

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In comments recently submitted to the administration, PhRMA raised concerns with a number of changes included in the Centers for Medicare & Medicaid Services (CMS) Medicaid proposed rule. Today, we’re diving deeper into CMS’s proposal to vastly expand the types of medicines that would fall… Read More »Proposed change to Medicaid line extension definition ignores importance of critical improvements in treatments

Innovaccer Unveils Risk Adjustment Solution For Improved Coding Accuracy

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What You Should Know: – Innovaccer unveils new risk adjustment solution to help providers better segment their population to refine the risk scoring process and improve coding accuracy and efficiency, thereby improving performance on risk-based contracts. – The solution utilizes Artificial Intelligence (AI) and Natural… Read More »Innovaccer Unveils Risk Adjustment Solution For Improved Coding Accuracy

Digital Behavioral Health: Addressing The COVID-19 Behavioral Health Crisis

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Victor Siclovan, Director of Medicaid Transformation Project at AVIA Living through a pandemic is stressful and anxiety-inducing. Stay-at-home measures are compounding this stress, resulting in social isolation and unprecedented economic hardship, including mass layoffs and loss of health coverage. Fully understanding the impact of these… Read More »Digital Behavioral Health: Addressing The COVID-19 Behavioral Health Crisis

Revel, NovuHealth Merge to Create Largest Healthcare Member Engagement Platform

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What You Should Know: – NovuHealth and Revel merge to bring together NovuHealth’s personalized healthcare loyalty programs with Revel’s applied behavioral research and health action technologies.  – Together, Revel and NovuHealth work with more than 50 healthcare organizations, including seven of the top 10 largest… Read More »Revel, NovuHealth Merge to Create Largest Healthcare Member Engagement Platform

Molina buys another Medicaid plan for $380M

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Molina announced it will acquire the assets of Affinity Health Plan, a New York-based Medicaid managed care organization. It’s one of several Medicaid MCO purchases the insurer has announced this year.

Trump Is Sending Fast, Cheap COVID Tests to Nursing Homes — But There’s a Hitch

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The Trump administration’s latest effort to use COVID-19 rapid tests — touted by one senior official as a “turning point” in arresting the coronavirus’s spread within nursing homes — is running into roadblocks likely to limit how widely they’ll be used. Federal officials are distributing… Read More »Trump Is Sending Fast, Cheap COVID Tests to Nursing Homes — But There’s a Hitch

Manufacturer cost-sharing assistance programs can save chronically ill patients hundreds to thousands of dollars annually

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A recent analysis by IQVIA shows that chronically ill patients who used manufacturer cost-sharing assistance in 2019 saved hundreds to thousands of dollars on their out-of-pocket costs. IQVIA found that nearly one-third of commercially insured patients taking brand anticoagulants, diabetes or oncology medicines used manufacturer… Read More »Manufacturer cost-sharing assistance programs can save chronically ill patients hundreds to thousands of dollars annually

Addus COO: Recruiting Has Been ‘a Little Bit of a Struggle’ During COVID-19

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Addus HomeCare Corporation (Nasdaq: ADUS) is rebounding from coronavirus-related disruption in its personal care and home health segments, company leadership noted Tuesday during a second-quarter earnings call. But the Frisco, Texas-based company also acknowledged there are still significant challenges on the horizon. “Addus had a… Read More »Addus COO: Recruiting Has Been ‘a Little Bit of a Struggle’ During COVID-19

COVID-19 Underscores Why Certain Aspects of the American Healthcare System Should Change Forever

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Irv Lichtenwald, President & CEO of Medsphere Systems Corporation In the late 1940s, the United Kingdom was busily reassembling country and what remained of the empire in the aftermath of World War II. Among many revelations, the war had convinced Britain’s leaders of the need… Read More »COVID-19 Underscores Why Certain Aspects of the American Healthcare System Should Change Forever

‘Family CNA Model’ for Pediatric Home Health Patients Gaining Momentum Amid COVID-19

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As states and cities shatter their old coronavirus records due to the current summer resurgence, health care officials and policymakers are once again shining a spotlight on high-risk populations, which include older adults in the community, individuals living in long-term care facilities and the immunocompromised.… Read More »‘Family CNA Model’ for Pediatric Home Health Patients Gaining Momentum Amid COVID-19

W2O Acquires Discern Health to Strengthen Value-Based Care Capabilities

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What You Should Know: – W2O announced today the acquisition of Discern Health, a leading healthcare consultancy based in Washington, DC, and Baltimore, to strengthen its strategic capabilities in assisting clients with critical healthcare policy trends and value-based reimbursement models. – Discern Health brings experts with… Read More »W2O Acquires Discern Health to Strengthen Value-Based Care Capabilities

How ADT-Based E-Notifications Can Enable Better Safety for COVID-19 Patients

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Jay Desai, CEO & Co-Founder, PatientPing As COVID-19 continues to impact the country, providers across the continuum face new challenges delivering care and ensuring safety for their patients and themselves.  During this period, sharing real-time information about patients’ care encounters across provider types and care… Read More »How ADT-Based E-Notifications Can Enable Better Safety for COVID-19 Patients

Medicaid Mystery: Millions of Enrollees Haven’t Materialized in California

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The predictions were dire: Coronavirus lockdowns would put millions of Americans out of work, stripping them of their health insurance and pushing them into Medicaid, the health insurance program for low-income people. In California, Gov. Gavin Newsom’s administration projected that the pandemic would force about… Read More »Medicaid Mystery: Millions of Enrollees Haven’t Materialized in California

Temporary Enhanced Federal Medicaid Funding Can Soften the Economic Blow of the COVID-19 Pandemic on States, but is Unlikely to Fully Offset State Revenue Declines or Forestall Budget Shortfalls

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The temporary boost in federal Medicaid funding enacted as part of the Families First Coronavirus Response Act (FFCRA) will soften the economic blow of COVID-19 on states, but is unlikely to fully offset state revenue declines or forestall budget shortfalls stemming from the pandemic, finds… Read More »Temporary Enhanced Federal Medicaid Funding Can Soften the Economic Blow of the COVID-19 Pandemic on States, but is Unlikely to Fully Offset State Revenue Declines or Forestall Budget Shortfalls

8 in 10 Consumers Stated COVID-19 Made Telehealth “Indispensable” in Healthcare Delivery

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What You Should Know: – 8 in 10 consumers said COVID-19 made telehealth “an indispensable part of the healthcare system, according to a new study commissioned by Change Healthcare. – 2020 Change Healthcare – Harris Poll Consumer Experience Index reveals 65% said they plan to… Read More »8 in 10 Consumers Stated COVID-19 Made Telehealth “Indispensable” in Healthcare Delivery

We Are in Store for the Greatest Change to Our Healthcare System Since the Affordable Care Act. Here’s Why.

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By LOGAN CHO The COVID-19 pandemic has been harsher and lasted longer than many of us would have predicted. While our media has been inundated with updates on death tolls and economic depression, there has been little conversation of healthcare beyond the era of COVID-19.… Read More »We Are in Store for the Greatest Change to Our Healthcare System Since the Affordable Care Act. Here’s Why.

Doctor On Demand Raises $75M to Expand Comprehensive Virtual Care Platform

What You Should Know – Doctor On Demand raises $75M in Series D funding led by General Atlantic to expand comprehensive virtual care. – Doctor On Demand is seeing record usage this year – up 139% – for COVID-19 screenings, routine health issues, chronic conditions and behavioral health. San Francisco, CA-based Doctor… Read More »Doctor On Demand Raises $75M to Expand Comprehensive Virtual Care Platform